Search › New York › 164W00000X
Herute-Amlak Extavour, LPN
NPI 1215318498 · on the registry since 2015
Practice
- Address
- 350 Vanderbilt Ave Apt 6d
Staten Island, NY 10304 - Phone
- (347) 797-8726
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York